Myron A Bodman in Fairview Park - Primary Podiatric Medicine

Myron A Bodman - NPI 1316943970

Myron A Bodman is a Primary Podiatric Medicine in Fairview Park, Ohio. Myron A Bodman practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Myron A Bodman is 1316943970. The last update date is 2012-09-17.

Myron A Bodman's current location address is 21245 Lorain Rd, Fairview Park, Ohio. You can contact this provider via phone number 4403561989 and fax number 4403565944. The mailing address for Myron A Bodman is 21245 Lorain Rd, Fairview Park, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Myron A Bodman
Address 21245 Lorain Rd, Fairview Park, Ohio
Phone Number 4403561989
Fax Number 4403565944
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1316943970
Provider Enumeration Date 2005-06-28
Last Updated Date 2012-09-17

Provider Mailing Address Detail

Address 21245 Lorain Rd
City Fairview Park
State Ohio (OH)
Post Code 441262140
Phone Number 4403561989
Fax Number 4403565944

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No 36-00-1747
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
360041 OH --
4800325161 OH RAILROAD MEDICARE

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FAQs about Myron A Bodman

What is the unique 10-digit identification code issued to Myron A Bodman by the Centers for Medicare & Medicaid Services?

The Myron A Bodman has been assigned the NPI (National Provider Identifier) 1316943970 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Myron A Bodman is physically located?

The Myron A Bodman is situated at the following address: 21245 Lorain Rd, Fairview Park, OH 441262140.

What is the Myron A Bodman's area of specialization and corresponding taxonomy classification?

The Myron A Bodman's specialty field is Primary Podiatric Medicine, and it falls under the taxonomy code 213Ep1101X, which categorizes healthcare providers based on their specialties.

When did the Myron A Bodman receive its 1316943970?

The Myron A Bodman was issued its 1316943970 on 2005-06-28, which is the date when the organization was assigned this unique identifier.

As of what date were the Myron A Bodman's details last updated?

The information pertaining to the Myron A Bodman, including its address, specialty, and other details, was most recently updated on 2012-09-17.

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